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Cash prices California Outpatient

Upper endoscopy cost in California without insurance

In California, the median cash price for Upper endoscopy with biopsy is $1,768.00 across 102 hospitals, from $407.40 to $8,190.00. The lowest is at Providence Saint Joseph Medical Center (Burbank). The US median is $1,656.06.

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

An upper endoscopy (EGD) looks at the esophagus, stomach and first part of the small intestine with a thin camera passed through the mouth. It is used for reflux, trouble swallowing, ulcers and bleeding. A biopsy is common and changes the code; the lab exam of the tissue, the doctor and sedation are usually billed separately.

Collected Nov 8, 2026 One price per hospital: its lowest outpatient cash price for the code

Upper endoscopy prices in California by type

43239 is upper endoscopy with biopsy and is used in the state table; 43235 is a diagnostic endoscopy; 43249 and 43248 stretch a narrowed esophagus; 43251 removes a polyp; 43236 injects the lining; and 43240 drains a cyst.

ProcedureHospitalsRangeMedianUS median
Upper endoscopy Upper endoscopy (EGD), diagnostic · code 43235 103 $227.97–$61,772.00 $1,872.00 $1,548.75
Upper endoscopy with biopsy Upper endoscopy (EGD) with biopsy · code 43239 102 $407.40–$8,190.00 $1,768.00 $1,656.06
Upper endoscopy with balloon dilation Upper endoscopy (EGD) with balloon widening of the esophagus · code 43249 95 $287.13–$9,768.00 $2,455.00 $2,353.05
Upper endoscopy with polyp removal Upper endoscopy (EGD) with polyp removal by snare · code 43251 71 $412.08–$9,093.94 $3,276.00 $2,234.01
Upper endoscopy with wire-guided dilation Upper endoscopy (EGD) with widening of the esophagus over a guide wire · code 43248 70 $463.60–$5,472.00 $1,871.88 $1,698.96
Upper endoscopy with injection Upper endoscopy (EGD) with injection into the lining · code 43236 67 $163.06–$9,072.00 $1,872.00 $1,601.20
Endoscopic cyst drainage Upper endoscopy with drainage of a pseudocyst through the stomach wall · code 43240 56 $890.10–$15,724.00 $7,162.40 $4,412.69
Procedure The service and its billing code (CPT or HCPCS). Opens the comparison of every hospital that prices it. More
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Middle 80% Cash prices of most hospitals: a tenth of hospitals charge less than the first number (P10), a tenth charge more than the second (P90). More
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
US median The median cash price across all US hospitals that publish one for this code.

Outpatient cash prices in California. Each hospital counts once, at its lowest cash price for the code; prices for both sides of the body and inpatient prices are not mixed in. Pick a procedure to compare every hospital in the state.

Lowest Upper endoscopy with biopsy prices in California

Upper endoscopy cost by metro area in California

Upper endoscopy cost in other states

Paying cash: what to do

  • Ask for one price that covers the facility, doctor, sedation and pathology.
  • Freestanding endoscopy centers usually charge much less than hospitals.
  • If you also need a colonoscopy, ask whether both can be done in one visit to save on facility and sedation fees.